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Organization
LISA A. STANTON, P.C.
Active
Organization
LISA A. STANTON, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LISA A STANTON LCSW, PC (PSYCHOTHERAPIST)
(773) 320-5841
Entity
Organization
Contact information
Practice address
25 E WASHINGTON ST, SUITE 1602, CHICAGO, IL 60602-1708
(773) 320-5841
Mailing address
25 E. WASHINGTON, SUITE 1602, CHICAGO, IL 60602-1882
(773) 320-5841
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
149010854
IL
Other
Enumeration date
05/09/2012
Last updated
06/18/2012
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